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Organization

PEDIATRIC PULMONARY ASSOCIATES INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ELIEZER NUSSBAUM M.D. (MEDICAL DIRECTOR)
(562) 933-8740
Entity
Organization

Contact information

Practice address
2801 ATLANTIC AVE, LONG BEACH, CA 90806-1701
(562) 933-8740
Mailing address
PO BOX 1307, LONG BEACH, CA 90801-1307
(562) 933-8740

Taxonomy

Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
A33717
CA
2080P0201X
Pediatric Allergy/Immunology Physician
A33717
CA
2080P0203X
Pediatric Critical Care Medicine Physician
A33717
CA
2080P0214X
Pediatric Pulmonology Physician
Primary
A33717
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
GR0013740
CA
Enumeration date
09/14/2006
Last updated
09/09/2015
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